Urinary tract infection in children
DOI:
https://doi.org/10.12775/JEHS.2020.10.06.014Keywords
urinary tract infections, bacteriuria, urine analysisAbstract
Urinary tract infections are considered to be one of the most common bacterial infection in children. In 30 % of children with anomalies of urinary tract , urinary tract infection (UTI) can be the first sign. UTIs are classified according to site, symptoms or episode. E. coli is responsible for 80-90 % of acute pyelonephritis episodes. Symptoms include fever, dysuria, tenderness in the lower abdomen are typical for older children, whereas for younger are non-specific. Diagnosis is based on clinical symptoms, abnormal urine analysis and growth on urine culture. Urine culture is still a gold standard for diagnosing urinary tract infections. Antibiotics are usually effective, although antibiotics resistance is still an increasing problem.
References
Bochniewska V, Jung A, Żuber J. Editorial. 2012;8(1):12-22.
Keren R, Shaikh N, Pohl H, et al. Risk factors for recurrent urinary tract infection and renal scarring. Pediatrics. 2015;136(1):e13-e21. doi:10.1542/peds.2015-0409
Okarska-Napierała M, Wasilewska A, Kuchar E. Urinary tract infection in children: Diagnosis, treatment, imaging – Comparison of current guidelines. J Pediatr Urol. 2017;13(6):567-573. doi:10.1016/j.jpurol.2017.07.018
Excellence NI for H and C, NICE. Urinary tract infection in under 16s : diagnosis and management. Nice. 2018;(August 2007):1-27.
Mandracchia VJ, Hayes DW, Yoho RM, Hayes MF. Diagnosis, Differential and Treatment Options. Nat Rev Microbiol. 2000;13(March):269-284. doi:10.1038/nrmicro3432.Urinary
George NJR. Urinary tract infection. Sci Basis Urol Second Ed. 2004:165-203. doi:10.7326/aitc201710030
McLellan LK, Hunstad DA. Urinary Tract Infection: Pathogenesis and Outlook. Trends Mol Med. 2016;22(11):946-957. doi:10.1016/j.molmed.2016.09.003
Kaufman J, Temple-Smith M, Sanci L. Urinary tract infections in children: An overview of diagnosis and management. BMJ Paediatr Open. 2019;3(1). doi:10.1136/bmjpo-2019-000487
Ekspertów G. Zalecenia Polskiego Towarzystwa Nefrologii Dziecięcej (PTNFD) dotyczące postępowania z dzieckiem z zakażeniem układu moczowego. Forum Med Rodz. 2016;10(4):159-178.
Escherichia U. Zakażenia układu moczowego (zum) 1.
Roberts KB, Downs SM, Finnell SME, et al. Urinary tract infection: Clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics. 2011;128(3):595-610. doi:10.1542/peds.2011-1330
Tosif S, Baker A, Oakley E, Donath S, Babl FE. Contamination rates of different urine collection methods for the diagnosis of urinary tract infections in young children: An observational cohort study. J Paediatr Child Health. 2012;48(8):659-664. doi:10.1111/j.1440-1754.2012.02449.x
Arakawa S. Urinary tract infections. Nippon rinsho Japanese J Clin Med. 2002;60(11):2200-2203.
Simões e Silva AC, Oliveira EA, Mak RH. Urinary tract infection in pediatrics: an overview. J Pediatr (Rio J). 2020;96(xx):65-79. doi:10.1016/j.jped.2019.10.006
Wettergren B, Jodal U. Spontaneous clearance of asymptomatic bacteriuria in infants. Acta Paediatr Scand. 1990;79(3):300-304. doi:10.1111/j.1651-2227.1990.tb11460.x
Cain ARR, Furness JA, Selkon JB, Simpson W. Asymptomatic bacteriuria in schoolchildren in Newcastle upon Tyne. Arch Dis Child. 1975;50(2):90-102. doi:10.1136/adc.50.2.90
Shaikh N, Ewing AL, Bhatnagar S, Hoberman A. Risk of renal scarring in children with a first urinary tract infection: A systematic review. Pediatrics. 2010;126(6):1084-1091. doi:10.1542/peds.2010-0685
Em S, Am T, Ps L. Probiotics for preventing urinary tract infections in adults and children ( Review ) SUMMARY OF FINDINGS FOR THE MAIN COMPARISON. 2015;(12). doi:10.1002/14651858.CD008772.pub2.www.cochranelibrary.com
Roberts KB, Downs SM, Finnell SME, et al. Reaffirmation of aap clinical practice guideline: The diagnosis and management of the initial urinary tract infection in febrile infants and young children 2-24 months of age. Pediatrics. 2016;138(6). doi:10.1542/peds.2016-3026
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 666
Number of citations: 0